Marquardt, Walt
Marquardt, Walt is an individual health care provider with primary practice located at 3941 J Street Suite 260, Sacramento CA 95819-3633. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Marquardt, Walt can be contacted via phone (916) 736-2323.Contact Information
Primary practice address
3941 J Street Suite 260
Sacramento CA 95819-3633
Phone: (916) 736-2323
Fax: (916) 736-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G59664 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G59664 | California |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | G59664 | California |
Profile Details
| NPI number | 1881766962 |
|---|---|
| LBN Legal business name | Marquardt, Walt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jan 30th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881766962 | NPPES |
| California | MEDICAID | 00G596640 | |
| California | MEDICAID | GR0068230 | |
| California | Other | ZZZ47675Z | |
| California | MEDICAID | GR0068231 | |
| California | Other | ZZZ47676Z | |
| California | MEDICAID | GR0068235 | |
| California | Other | 060033947 | |
| California | MEDICAID | GR0068233 | |
| California | MEDICAID | GR006823B | |
| California | Other | ZZZ62306Z | |
| California | MEDICAID | GR0068232 | |
| California | Other | ZZZ47673Z |
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